Healthcare Provider Details

I. General information

NPI: 1275922346
Provider Name (Legal Business Name): ALASKA CENTER FOR PAIN RELIEF INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2015
Last Update Date: 07/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3851 PIPER ST STE U464
ANCHORAGE AK
99508
US

IV. Provider business mailing address

3851 PIPER ST STE U464
ANCHORAGE AK
99508-6905
US

V. Phone/Fax

Practice location:
  • Phone: 907-339-4800
  • Fax: 907-339-4801
Mailing address:
  • Phone: 907-339-4800
  • Fax: 907-339-4801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER GAY
Title or Position: PRESIDENT
Credential: MD
Phone: 907-339-4800